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NOTARY FOR PROSPECTIVE SUCCESSOR <br />STATE OF <br />ss.: <br />'COUNTY OF <br />by <br />The foregoing instrument was acknowledged before me this Zi day of 1412-.4 ZO/ <br />as _ of <br />Notary Public � <br />LORI THOMPS IC My Commission Expires Z t — ZO j s' <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20034039848 <br />MY COMMISSION EXPIRES NOV. 21, 2015 STATE APPROVAL <br />k— for completion by Division] <br />(a) The Board hereby approves the transfer of permit number <br />to <br />from <br />(b) The Board hereby recognizes as Successor Operator under <br />such Permit. <br />(c) The Board hereby accepts the Performance and Financial Warranties submitted by Successor and hereby <br />releases _ , as former Permittee from all obligations under <br />its Performance and Financial Warranties. The Board further releases all affected financial warrantors from <br />obligations under Financial Warranties associated with the former Permittee. <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF .RECLAMATION, MINING AND SAFETY <br />By: Date Executed: <br />Division Director <br />-10- <br />